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Cytotoxic T lymphocyte (CD8+ T cell) (CTL (for "cytotoxic T lymphocyte") or CD8+ T cell)

Target
CTL (for "cytotoxic T lymphocyte") or CD8+ T cell
Molecular classification
Other (Effector immune cell, not a classic molecular target such as receptor or enzyme)
01

Overview

Cytotoxic T lymphocytes (CTLs, usually CD8+ T cells) are immune cells capable of recognizing and directly killing cells displaying specific antigens, typically in the context of MHC class I molecules. In cancer immunotherapy, "tumor antigen-specific cytotoxicity via polyclonal autologous T cells" refers to the use or expansion of patient-derived tumor-infiltrating lymphocytes (TILs) or other T cells that can recognize multiple tumor-associated antigens and eliminate cancer cells. This approach forms a foundational component of adoptive cell transfer therapies, including TIL therapy and CAR-T cell therapy (though CAR-T uses engineered receptors). The target of these T cells is not the cytotoxic T cell itself, but the tumor antigen presented by malignant cells[2][4][7][9].

Other names
Cytotoxic T lymphocyteCTLCD8+ T cellkiller T cellcytolytic T cellT-killer cell
02

Mechanism of action

Recognition of antigen/MHC-I complex via TCR and CD8; Release of cytotoxic granules (perforin and granzymes) to induce apoptosis; Fas ligand–Fas receptor interaction to induce target cell death; Cytokine-mediated indirect killing (such as TNF-α).

03

Biological functions

Immune responseCell-mediated cytotoxicityApoptosis induction in infected or malignant cells
04

Disease associations

Cancer (immunotherapy)Infection (viral, bacterial)Autoimmunity (can contribute if inappropriately targeted)
05

Safety considerations

Cytokine release syndromeOff-tumor, on-target toxicity/autoimmunity (reactivity against normal tissues)Severe immune toxicities (fever, hypotension, thyroiditis, colitis, hepatitis)Manufacturing/consistency challenges in autologous products
06

Interacting drugs

Interleukin-2 (used to expand T cells in vitro, especially for TIL therapy)

3 more in the full profile.

07

Biomarkers

Tumor antigen expression (e.g., melanoma antigens for TIL therapy, such as PRAME or others)HLA typing (since TCRs recognize antigen in MHC context)Persistence and expansion of infused T cells in the patient

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